| NPI | 1962485045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35.099633) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 043635) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-07-21 |